Provider Demographics
NPI:1922065846
Name:AGNEW, JAMES GILMOUR (DMD)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:GILMOUR
Last Name:AGNEW
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 160088
Mailing Address - Street 2:
Mailing Address - City:BOILING SPRINGS
Mailing Address - State:SC
Mailing Address - Zip Code:29316-0003
Mailing Address - Country:US
Mailing Address - Phone:864-578-7017
Mailing Address - Fax:864-578-6681
Practice Address - Street 1:2272 OLD FURNACE RD
Practice Address - Street 2:
Practice Address - City:BOILING SPRINGS
Practice Address - State:SC
Practice Address - Zip Code:29316-5759
Practice Address - Country:US
Practice Address - Phone:864-578-7017
Practice Address - Fax:864-578-6681
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-04-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
SC27711223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice